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General NPI Number Information
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NPI Number | 1740796812
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Entity Type | Organization
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Legal Business Name | VALLEY LIVERY AND LIMO LLC
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 488 MAIN ST
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City | ANSONIA
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State | CT
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Zip | 06401-2314
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Country | US
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Telephone | 203-732-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 488 MAIN ST
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City | ANSONIA
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State | CT
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Zip | 06401-2314
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Country | US
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Telephone | 203-732-1760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADEL MANSOUR
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Credential |
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Telephone | 203-732-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 1002
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License Number State | CT
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